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  #1  
Old Apr 14, 2018, 08:21 PM
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My old doctor says I’m not bipolar because I’ve never been manic. My new doctor is confused because I told him I’m not bipolar yet I’m on bipolar meds. So I was wondering, can you be bipolar without mania? Or are my meds working really well?

I have mood swings. sometimes my mood changes every few minutes. Yet I rarely show them. I can be really moody yet talk to people calmly and rationally to the point they think I’m just feeling normal.

I don’t know. Maybe I just have very good control over my moods.
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  #2  
Old Apr 14, 2018, 08:28 PM
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It’s hard to know. My understanding is that Type2 BP experience hypomania not full blown mania.
What meds are you on ? There must’ve been a reason you were put on them.
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  #3  
Old Apr 14, 2018, 08:32 PM
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Have you ever had a clear mixed episode? I think that's why I'm diagnosed bipolar.
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  #4  
Old Apr 14, 2018, 08:32 PM
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With bipolar 2, the mania can be more like irritability. That's what my Mom has. But sometimes they use anti-psychotics and mood stabilizers with depressed people to augment the anti-depressants. I'm not bipolar, but I took abilify for a while.
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  #5  
Old Apr 14, 2018, 08:34 PM
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I live in mania my mom says why you on a med thats for bipolar depression when your not depressed. Well the med works, and why mess with what works. Fact is i used to be depressed due to situation not chemically. Now not. Anyway, don't worry about it. Just do what works, if its not working than question it.
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  #6  
Old Apr 14, 2018, 08:52 PM
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Bipolar meds may be tried if antidepressants don’t work.

Do your meds help you?

Your new doc can order your records with your permission
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  #7  
Old Apr 14, 2018, 08:58 PM
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I’m on geodon and lamictal. I don’t know what a mixed episode is. My meds are working. But I’m not sure how well they work or if It’s just the mindfulness I use.

I was orginally put on these meds for mood swings and behavior issues that turned out to be undiagnosed PMDD. Once I got on birth control I made a lot of progress.

I’m not going to have my records sent over. My new doctor was so obsessed with my past and shrugged off how I’ve been the past 7 years. I don’t want him to diagnose me with something I may have had 11 years ago but not something I’ve had for the past 5 years.

Signing over my records would be a very bad choice.
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  #8  
Old Apr 14, 2018, 09:27 PM
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Who is really to say? Bipolar or not???

Only time can Tell. There is cycling to ultradian rapID cycling. There is also borderline personality disorder. Also DID aka MPD. Not much can be properly diagnosed 10 minute visit with an unqualified bio mechanic. Keep looking.
  #9  
Old Apr 14, 2018, 09:33 PM
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What is an unqualified bio mechanic? It was actually an hour long assessment.

And keep looking for what exactly? Another doctor? Another diagnoses? What?
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  #10  
Old Apr 14, 2018, 09:45 PM
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The more research they do they are figuring out that it’s more of a spectrum than either/or. Someone can be mostly depressed with occasional mania or hypo mania. Many people never have an episode of full blown psychotic mania. I never have. I get really hyper and distracted though.
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  #11  
Old Apr 14, 2018, 09:48 PM
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....indeed.
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  #12  
Old Apr 14, 2018, 10:31 PM
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"Manic" can mean a lot of mood states. Hollywood shows manic as the textbook hyper-energized, no sleep, hyper-sexual, etc., etc. type of mania.

The truth is, irritability/anger/rage can be a mania. Severe anxiety can be a form of mania ("dysphoric mania"). And so on.
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  #13  
Old Apr 15, 2018, 02:13 AM
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Quote:
Originally Posted by Shazerac View Post
The more research they do they are figuring out that it’s more of a spectrum than either/or. Someone can be mostly depressed with occasional mania or hypo mania. Many people never have an episode of full blown psychotic mania. I never have. I get really hyper and distracted though.
I’m never certain of what makes me more or less psychotic. I’m always in a low-level manic delusional state, though. I can feel depressed for a time (like now) but not so horrible as MDD.

I’m a pendulum.
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  #14  
Old Apr 15, 2018, 08:18 AM
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Yes. I have never been manic. (BPII)


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  #15  
Old Apr 15, 2018, 08:45 AM
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My PDOC said I have agitated depression which is a form of bipolar and I don't get manic. I have mixed mood swings between depression and agitation.
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  #16  
Old Apr 15, 2018, 10:07 AM
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Some doctors have a pretty wide definition of the bipolar spectrum. Some feel that some patients may be on the very lower end even without sufficient symptoms to qualify for cyclothymia or bipolar 2, let alone bipolar 1. The main thing is if moodstabilizers and/or antipsychotics give you more relief than antidepressants or antidepressants alone.
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  #17  
Old Apr 15, 2018, 04:56 PM
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I'm diagnosed with Bipolar II, but I don't even get the typical hypomania. It swings from depression to this agitated mixed state and back. I've had numerous different diagnosis because the PDocs I've seen can never seem to make up their mind. All they can agree on is there is some type of mood disorder going on.
I like the idea that Bipolar is more of a spectrum than just clear cut I or II.
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  #18  
Old Apr 15, 2018, 05:19 PM
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Everyone has their own unique soup of Bipolar.

Sure the DSMV has guidelines that can help some.

But everyone’s bipolar is different.

I don’t get happy puppy rainbow Mania I get the angry hate the world type.

My daughter has Bipolar 1 also but our mood shifts are very different.
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  #19  
Old Apr 15, 2018, 09:57 PM
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Quote:
Originally Posted by Aviza View Post
I live in mania my mom says why you on a med thats for bipolar depression when your not depressed. Well the med works, and why mess with what works. Fact is i used to be depressed due to situation not chemically. Now not. Anyway, don't worry about it. Just do what works, if its not working than question it.
I agree - I think it’s easy to hung up on the diagnosis but the most important part is your healing and if what you are taking works then that is a very good thing.
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  #20  
Old Apr 15, 2018, 10:00 PM
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If your moods fluctuate independently of life events that’s more of a bipolar thing than thr alternative where only life events trigger drastic mood episodes. However, life events can still trigger a bipolar episode the mood swings are mostly episodic. Did they propose another diagnosis if it’s no longer bipolar?
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  #21  
Old Apr 17, 2018, 06:29 PM
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My new therapist mentioned the possibility of type 2 bipolar today.
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  #22  
Old Apr 17, 2018, 09:35 PM
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It could be that you have slight hypomania or mixed states. That happens a lot. Where you get angry or easily irritable for no reason. Or you may sometimes be more productive than others.
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  #23  
Old Apr 18, 2018, 08:04 AM
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Quote:
Originally Posted by Bozdickens View Post
I’m on geodon and lamictal. I don’t know what a mixed episode is. My meds are working. But I’m not sure how well they work or if It’s just the mindfulness I use.

I was orginally put on these meds for mood swings and behavior issues that turned out to be undiagnosed PMDD. Once I got on birth control I made a lot of progress.

I’m not going to have my records sent over. My new doctor was so obsessed with my past and shrugged off how I’ve been the past 7 years. I don’t want him to diagnose me with something I may have had 11 years ago but not something I’ve had for the past 5 years.

Signing over my records would be a very bad choice.
I also have PMDD and my bio father has tried to convince doctors that I have bipolar because of it, but the fact is that I have never been manic or hypomanic. The PMDD causes specific mood behaviors during my cycle that are absolutely predictable and manageable through birth control. I have been prescribed an anti-depressant in the past to assist with the PMDD but it didn't have any effect.

As others have said, sometimes bipolar meds are prescribed off label for other reasons. I have been given mood stabilizers as sleep meds. I also do not have bipolar.

I agree with you about asking the doctor to do a complete new workup and not see former diagnoses. But you can give him complete information on your history verbally. He should respect that you want an honest, unbiased opinion, therefore do not want to share those records but will be willing to verbally share the history with him.

Seesaw
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  #24  
Old Apr 26, 2018, 09:48 PM
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Based on today it might seem like mania.

I was euphoric the entire day. I spent over $100 at the mall and I felt just really good and now I don’t want to go to sleep and I’ve been sending multiple messages to the same people even though they are not answering me back yet.

I have SAD though. And for the past 13 years I’ve gotten like this the first few days of spring.

So I’m guessing it’s this.
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  #25  
Old Apr 27, 2018, 02:05 PM
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I tend to get spring fever. I’m on top of the world.
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"Ask yourself whether the dream of heaven and greatness should be left waiting for us in our graves - or whether it should be ours here and now and on this earth.” Ayn Rand, Atlas Shrugged

Bipolar type 2 rapid cycling DX 2013 -
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Celexa 20 mg
Xanax .5 mg prn
Modafanil 100 mg

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